Individual provider Active NPI

Okechukwu Jude Okeke, M.D

  • Pediatrics Physician
  • Rockwall, TX
National Provider Identifier
1083918163
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S8222 Issued in TX
Practice address
3150 Horizon Rd
Rockwall, TX 75032-7805
Phone
(214) 343-6663
Fax
(214) 343-2814
NPI assigned
Jan 4, 2011
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01092869A IN
Pediatrics Physician 208000000X 036138189 IL
Pediatrics Physician 208000000X 29022 MS
Pediatrics Physician 208000000X 68919 WI
Pediatrics Physician 208000000X S8222 TX Primary
Hospitalist Physician 208M00000X 01092869A IN
Child Abuse Pediatrics Physician 2080C0008X 29022 MS
Child Abuse Pediatrics Physician 2080C0008X 125.058976 IL
Child Abuse Pediatrics Physician 2080C0008X 68919 WI

Addresses

Primary practice location

3150 Horizon Rd
Rockwall, TX 75032-7805

Mailing address

3001 George Bush Hwy Ste 225
Richardson, TX 75082-3569
Phone (214) 343-6663

Other practice location 1

5666 E State St
Rockford, IL 61108
Phone (815) 381-7715

Other practice location 2

3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4258

Other practice location 3

1100 Belk Blvd
Oxford, MS 38655-5242
Phone (662) 636-1090

Other practice location 4

225 E Chicago Ave
Chicago, IL 60611-2991
Phone (312) 227-4000

Other practice location 5

12750 Saint Francis Dr
Crown Point, IN 46307-0264
Phone (219) 757-6005

Other identifiers 2

IdentifierTypeStateIssuer
1083918163MedicaidWI
423998001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX, SC, OH, IN, KS6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20150909002677 IL Practitioner - Pediatric Medicine 6800103722 Reassigns benefits to 2 organizations
I20211029000457 TX Practitioner - Pediatric Medicine 6800103722 Reassigns benefits to 3 organizations
I20220406002524 SC Practitioner - Pediatric Medicine 6800103722 Reassigns benefits to 2 organizations
I20230619001643 OH Practitioner - Pediatric Medicine 6800103722 Reassigns benefits to 1 organization
I20240708000830 IN Practitioner - HospitalistPractitioner - Pediatric Medicine 6800103722 Reassigns benefits to 1 organization
I20241003000209 KS Practitioner - Pediatric Medicine 6800103722 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036138189ILMDPediatrics Physician
01092869AINMDPediatrics Physician
29022MSMDPediatrics Physician
68919WIMDPediatrics Physician
125.058976ILMDChild Abuse Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC Hospitalist CurrentSince Mar 14, 2022 Accepting new patients
Magella Medical Associates Billing, Inc. CurrentSince Aug 10, 2021 Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. CurrentSince Sep 6, 2024 Accepting new patients
Franciscan Physician Network CurrentSince Jul 1, 2024 Accepting new patients
Questcare Hospitalists PLLC Pediatrics CurrentSince Mar 25, 2024 Accepting new patients
Christus Trinity Clinic Texas Pediatrics CurrentSince Dec 5, 2021 Accepting new patients
Freeport Memorial Hospital CurrentSince Mar 10, 2021 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jan 30, 2026 Accepting new patients
University Hospitals Medical Group Inc Pediatrics CurrentSince Jun 1, 2023 Accepting new patients
Granite City Hospitalist Services LLC Hospitalist CurrentSince Jan 29, 2017 Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. Hospitalist Current Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. CurrentSince Sep 6, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 5, 2021 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jan 30, 2026 Accepting new patients
Franciscan Physician Network CurrentSince Jul 1, 2024 Accepting new patients
Methodist Hospitals of Dallas Past Accepting new patients
Texas Health Presbyterian Hospital Plano Past Accepting new patients
Prime Healthcare Services Mesquite LLC Past Accepting new patients

Locations (25 of 30)

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

308 W Market St
Crawfordsvlle, IN 47933
Phone (765) 359-1660

12750 Saint Francis Dr
Crown Point, IN 46307
Phone (219) 738-2100

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

1 Burnt Church Rd
#A
Bluffton, SC 29910
Phone (843) 706-2185

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

2831 George Bush Hwy
Richardson, TX 75082
Phone (469) 204-1000

Interoperability endpoints

  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/
  • Direct secure messaging: ookeke271080@christushealth.direct-ci.net

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1083918163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 GEORGE BUSH HWY STE 225",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823569",
            "telephone_number": "214-343-6663",
            "fax_number": "214-343-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 HORIZON RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327805",
            "telephone_number": "214-343-6663",
            "fax_number": "214-343-2814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5666 E State St",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "61108",
            "country_code": "US",
            "telephone_number": "815-381-7715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Spring St",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "WI",
            "postal_code": "534051667",
            "country_code": "US",
            "telephone_number": "262-687-4258",
            "fax_number": "262-687-5358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Belk Blvd",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386555242",
            "country_code": "US",
            "telephone_number": "662-636-1090",
            "fax_number": "662-636-1676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 E Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112991",
            "country_code": "US",
            "telephone_number": "312-227-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12750 Saint Francis Dr",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463070264",
            "country_code": "US",
            "telephone_number": "219-757-6005",
            "fax_number": "219-681-6823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKEKE",
        "first_name": "OKECHUKWU",
        "middle_name": "JUDE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-04",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01092869A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036138189",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "29022",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "68919",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S8222",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01092869A",
            "primary": false
        },
        {
            "code": "2080C0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": "MS",
            "license": "29022",
            "primary": false
        },
        {
            "code": "2080C0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": "IL",
            "license": "125.058976",
            "primary": false
        },
        {
            "code": "2080C0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Child Abuse Pediatrics",
            "state": "WI",
            "license": "68919",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083918163",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423998001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.